Individual provider · Type 1 NPI

Kimberly Stacy, LPN

Licensed Practical Nurse · Tulsa, OK

NPI number 1497462469 Active

Practice location

2325 S Harvard Ave
Tulsa, OK 74114-3300

Fax (918) 712-4309

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL0065402 (OK)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1497462469

Kimberly Stacy, LPN's National Provider Identifier is 1497462469, issued on Oct 31, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Tulsa, OK. The record was last updated on Nov 3, 2022.